Critical Urologic Skills and Procedures in the Emergency Department

Ramos-Fernández, María; Medero-Colon, Roberto; Mendez-Carreno, Lorraine

doi:10.1016/j.emc.2012.09.007

Cited by 8 publications

(3 citation statements)

References 67 publications

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“…The indications for SPC insertion include urinary retention or incontinence, neurological disease, urethral trauma and in postoperative care. 2 Complications associated with a suprapubic catherization are recurrent urinary tract infections, damage or perforation of the bladder wall and obstruction of catheter. 3 …”

Section: Discussionmentioning

confidence: 99%

A rare complication of suprapubic catheterisation with obstruction and significant migration into a ureter

Saad

Zhong

2021

Urology Case Reports

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Suprapubic catheter insertion is frequently indicated for patients with a neurogenic bladder. It's an effective and safe way to drain the bladder and can be managed in a community setting by a trained health professional. Here we report a rare case of a 73-year-old male-presenting with a two-day history of frank haematuria secondary to a recent suprapubic catheter change. Imaging confirmed an obstruction of the right ureteric orifice due to migration of the catheter into the ureter. Once the catheter was withdrawn into the correct location his haematuria and acute renal injury resolved and was discharged the following day.

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Section: Discussionmentioning

confidence: 99%

A rare complication of suprapubic catheterisation with obstruction and significant migration into a ureter

Saad

Zhong

2021

Urology Case Reports

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“…U 2/3 pacijenata se testis torkvira medijalno, a u 1/3 lateralno. Ponekad detorkvaciju treba ponoviti 2-3 puta za potpunu detorziju [16,17,18] (Slika 5). Slika 5.…”

Section: Tretman Torzije Testisaunclassified

Torzija testisa - specifičnosti bimodalne kliničke prezentacije, dijagnostike i lečenja

Jovanović¹,

Slavković²,

Janković³

et al. 2021

Timočki medicinski glasnik

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Torzija testisa (TT) je stanje uzrokovano uvrtanjem spermatične vrpce, što dovodi do prekida protoka krvi do testisa. Najčešće javlja u dva različita perioda rasta i razvoja. Znatno je ređa oko rođenja, pre ili neposredno posle, uključujući i prvi mesec života, a mnogo češće u starijem uzrastu od 12-18 godina. Osim uzrasta, različit je patoanatomski supstrat, mehanizam nastanka i klinička prezentacija. Kod mlađih adolescenata je to urgentno kliničko stanje, dok kod novorođenčeta najčešće nije. Cilj rada je ukazati na ove specifičnosti, jer od pravovremenog prepoznavanja zavisi i terapijski pristup, koji može biti suštinski različit.

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“…Circumcision is a painful outpatient surgery frequently performed under general anesthesia to reduce fear and anxiety in pediatric patients [1, 2]. Postoperative pain is the primary concern despite systemic opioids, acetaminophen, and nonsteroid anti-inflammatory drugs [3]. Regional anesthesia techniques also provide adequate postoperative analgesia.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Postoperative Analgesic Effect of 2 Different Blocks after Pediatric Circumcision Surgery

Mutlu¹,

Türkmen²

2021

Urol Int

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Background: Circumcision is a painful day-case surgery. Regional anesthesia techniques are used effectively for anesthesia and postoperative analgesia after pediatric circumcision surgery. Objective: Our prospective observational study aimed to compare postoperative analgesic efficiency of a dorsal penile nerve (DPN) block with a transversus abdominis plane (TAP) block after male pediatric circumcision surgery and complications related to each block. Study Design: We enrolled 80 male children under the age of 10 years with American Society of Anesthesiologists I–II status scheduled for circumcision in this prospective observational study. A TAP or DPN block was performed after induction of general anesthesia before surgery with ultrasound (US) guidance. Postoperative pain was assessed with Faces Pain Scale-Revised and the Faces, Legs, Activity, Cry and Consolability scale. Results: There was no statistically significant difference between the groups regarding 30-min pain score levels (p > 0.05). But, the 1st hour, 2nd hour, 6th hour, 12th hour, and 24th-hour pain score levels in the TAP block group were statistically significantly higher than those of the DPN block group (p < 0.05). The 1st rescue analgesic requirement in the TAP block group was at the 6th hour postoperative. There was no need for rescue analgesia in the DPN block group during the postoperative 24-h follow-up. Discussion: A US-guided DPN block provided effective and long-lasting postoperative analgesia for circumcision surgery with statistically significantly lower pain score levels than a US-guided TAP block. Conclusion: This study found that a TAP block alone was insufficient to provide adequate postoperative analgesia for circumcision surgery compared to DPN block.

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Critical Urologic Skills and Procedures in the Emergency Department

Cited by 8 publications

References 67 publications

A rare complication of suprapubic catheterisation with obstruction and significant migration into a ureter

A rare complication of suprapubic catheterisation with obstruction and significant migration into a ureter

Torzija testisa - specifičnosti bimodalne kliničke prezentacije, dijagnostike i lečenja

Evaluation of the Postoperative Analgesic Effect of 2 Different Blocks after Pediatric Circumcision Surgery

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